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Cited by 262

The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.

Severe pandemic 2009 H1N1 influenza disease due to pathogenic immune complexes

Open access
Monsalvo, Ana Clara, Batalle, Juan P, Lopez, M Florencia, Krause, Jens C, Klemenc, Jennifer, Hernandez, Johanna Zea, Maskin, Bernardo, Bugna, Jimena, Rubinstein, Carlos, Aguilar, Leandro, Dalurzo, Liliana, Libster, Romina, Savy, Vilma, Baumeister, Elsa, Aguilar, Liliana, Cabral, Graciela, Font, Julia, Solari, Liliana, Weller, Kevin P, Johnson, Joyce, Echavarria, Marcela, Edwards, Kathryn M, Chappell, James D, Crowe, James E, Williams, John V, Melendi, Guillermina A, Polack, Fernando P·2011·Nature Medicine

Abstract

Pandemic influenza viruses often cause severe disease in middle-aged adults without preexisting comorbidities. The mechanism of illness associated with severe disease in this age group is not well understood. Here we find preexisting serum antibodies that cross-react with, but do not protect against, 2009 H1N1 influenza virus in middle-aged adults. Nonprotective antibody is associated with immune complex–mediated disease after infection. We detected high titers of serum antibody of low avidity for H1-2009 antigen, and low-avidity pulmonary immune complexes against the same protein, in severely ill individuals. Moreover, C4d deposition—a marker of complement activation mediated by immune complexes—was present in lung sections of fatal cases. Archived lung sections from middle-aged adults with confirmed fatal influenza 1957 H2N2 infection revealed a similar mechanism of illness. These observations provide a previously unknown biological mechanism for the unusual age distribution of severe cases during influenza pandemics.

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Metadata

Authors
Monsalvo, A. C., Batalle, J. P., Lopez, M. F., Krause, J. C., Klemenc, J., Hernandez, J. Z., Maskin, B., Bugna, J., Rubinstein, C., Aguilar, L., Dalurzo, L., Libster, R., Savy, V., Baumeister, E., Aguilar, L., Cabral, G., Font, J., Solari, L., Weller, K. P., Johnson, J., Echavarria, M., Edwards, K. M., Chappell, J. D., Crowe, J. E., Williams, J. V., Melendi, G. A., & Polack, F. P.
Venue
Nature Medicine
Published
2010-12-05
Volume
17
Issue
2
Pages
195-199
ISSN
  • 1078-8956 (ISSN-L)
  • 1546-170X
OpenAlex
W2089483990
Cited by
262
References
30
FWCI
15.52
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Severe pandemic 2009 H1N1 influenza disease due to pathogenic immune complexes. https://app.cochat.ai/papers/10.1038/nm.2262
The paper
Monsalvo, A. C., Batalle, J. P., Lopez, M. F., Krause, J. C., Klemenc, J., Hernandez, J. Z., Maskin, B., Bugna, J., Rubinstein, C., Aguilar, L., Dalurzo, L., Libster, R., Savy, V., Baumeister, E., Aguilar, L., Cabral, G., Font, J., Solari, L., Weller, K. P., . . . Polack, F. P. (2011). Severe pandemic 2009 H1N1 influenza disease due to pathogenic immune complexes. Nature Medicine. https://doi.org/10.1038/nm.2262

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.